1st Department of Pediatrics, Hippocratio General Hospital, Aristotle University Thessaloniki, Thessaloniki, Greece.
Pediatric Department, Consorcio Hospital General, University of Valencia, Valencia, Spain.
Blood Press. 2024 Dec;33(1):2411294. doi: 10.1080/08037051.2024.2411294. Epub 2024 Oct 11.
Findings from adult studies suggest that tronco-conical cuffs provide more accurate blood pressure (BP) measurements in individuals with obesity. The aim of the present study was to examine differences in office blood pressure (BP) levels using conical cuffs compared to standard-shaped cylindrical cuffs in children and adolescents with obesity.
We performed an observational study, including 37 children and adolescents with obesity, who were consequently recruited from the outpatient clinics of the Obesity and Cardiovascular Risk Unit at General University Hospital Consortium of Valencia. Arm circumference AC was measured in all participants, and the appropriate cuff size was selected for both conical and cylindrical cuffs.
Mean participants' age was 11.82.5 years, mean BMI was 28.83.4 kg/m, mean BMI z-score was 2.120.32, and mean AC was 30.03.6 cm. There was no statistical significance in BP levels measured by cylindrical compared to conical cuffs (mean difference cylindrical-conical cuff was -0.226.55 mmHg for SBP, -0.020.81 for SBP z-score, -0.704.95 mmHg for DBP, and -0.060.44 for DBP z-score). A significant positive association was found between the measurements obtained by cylindrical and conical cuffs in both mean and z-score SBP and DBP values ( < 0.001). Bland-Altman analysis showed good agreement, with 94.6% of the values for all BP parameters lying between the limits of agreement.
Although the use of conical cuffs in the study showed no advantage in enhancing the performance of BP measurements, they may be considered an alternative for office BP measurements in children and adolescents with obesity. Their reliability should be confirmed in larger populations and different settings.
成人研究结果表明，在肥胖个体中，锥形袖口可提供更准确的血压（BP）测量值。本研究的目的是比较肥胖儿童和青少年使用锥形袖口和标准圆柱形袖口时的诊室血压（BP）水平差异。
我们进行了一项观察性研究，包括 37 名肥胖儿童和青少年，他们是从瓦伦西亚综合大学医院联盟肥胖和心血管风险科的门诊招募的。所有参与者均测量臂围 AC，并为锥形袖口和圆柱形袖口选择合适的袖口尺寸。
参与者的平均年龄为 11.82.5 岁，平均 BMI 为 28.83.4kg/m2，平均 BMI z 分数为 2.120.32，平均 AC 为 30.03.6cm。圆柱形袖口和锥形袖口测量的 BP 水平无统计学差异（平均差值圆柱形-锥形袖带为 SBP 为-0.226.55mmHg，SBP z 分数为-0.020.81，DBP 为-0.704.95mmHg，DBP z 分数为-0.060.44）。在 SBP 和 DBP 的平均值和 z 分数中，圆柱形和锥形袖口的测量值之间存在显著的正相关（ < 0.001）。Bland-Altman 分析显示良好的一致性，所有 BP 参数的 94.6%的值均在可接受范围的界限内。
尽管研究中使用锥形袖口在增强 BP 测量性能方面没有优势，但它们可被视为肥胖儿童和青少年诊室 BP 测量的替代方法。在更大的人群和不同的环境中，应确认其可靠性。
